Inspection on 14/11/06 for Eastlake

This inspection was carried out on 14th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Eastlake 11/11/08

Eastlake 14/11/07

Eastlake 18/10/05

Eastlake 23/06/05

Eastlake 18/01/05

Eastlake 15/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Eastlake Eastlake Nightingale Road Godalming Surrey GU7 3AG Lead Inspector Deavanand Ramdas Key Unannounced Inspection 14th November 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eastlake Address Eastlake Nightingale Road Godalming Surrey GU7 3AG 01483 413520 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) sharon.blackwell@anchor.org Anchor Trust Ms Linda Ann Grout Care Home 51 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (14), Old age, not falling within any other category (24), Physical disability over 65 years of age (12) Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Of the 51 persons accommodated up to 24 may fall within the category older people (OP) Of the 51 residents accommodated up to 14 may fall within the category of MD(E) and up to 12 may fall within the category PD(E) Of the 51 residents accommodated up to 20 may fall within the category of DE(E) The age/age range of the persons accommodated will be OVER THE AGE OF 65 YEARS 18th October 2005 Date of last inspection Brief Description of the Service: Eastlake is registered with the CSCI (Commission for Social Care Inspection) to provide accommodation and care to fifty one older people. The home is located in a residential area in Godalming, Surrey and is close to the post office, local shops and pubs with excellent bus and train routes to nearby towns. Accommodation is on two floors accessed by stairs or a lift and split into four independent living units with a communal lounge, dining area and kitchen. The home has an office, main kitchen, laundry, bathrooms, toilets and bedrooms have en-suite facilities. The home has a courtyard and an attractive garden which is private, secure and accessible. Private parking is available. The range of fees charged by the home is £446 to £750 per week. The registered manager is Ms Linda Grout Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes key inspection by the CSCI (Commission for Social Care Inspection) henceforth referred to as the CSCI. The inspection was carried out by one inspector over a period of six hours starting at 10:30 hrs and finishing at 16:30 hours and included a tour of the premises, interviews with staff and service users, and an inspection of records and documents at the home. The manager was not present on the day of the inspection which was facilitated by the deputy managers of the home. The inspector noted some service users have memory impairment with communication difficulties and judgments were made about them based of their mood, behaviour and information given by staff. The inspector would like to thank the deputy managers, staff, relatives and service users for their contribution to the inspection. What the service does well: The home has an experienced registered manager who provides management stability, leadership and direction to the staff team. During discussions a member of staff stated ‘‘the manager is keen to develop the home’’ and ‘‘we use supervision and team meetings to discuss issues and drive the home forward’’. Meals at the home are good and offer variety and choice. The home had a hospitality assured award which reflected a good standard of food and catering service. During discussions a service user commented ‘‘meals are very good, well balanced, at least two vegetables with potatoes’’ and ‘‘you get a choice everyday, actually it is very good’’. The home is committed to staff training and development to ensure service users are in safe hands at all times. During discussions a member of staff stated ‘‘I have done NVQ (National Vocational Qualification) Level 3 and I have gained a lot from my training’’ and ‘‘I have done induction training. I had plenty of time and it wasn’t rushed’’. Activities at the home are being reviewed by activity co-ordinators to ensure it reflect the preferences and choices of service users. During discussions a service user stated ‘‘we do light exercises to keep the joints moving’’ and ‘‘I like reading, knitting and embroidery’’. The premises is excellent, well-maintained with a good standard of décor, hygiene and cleanliness. During discussions a service user commented ‘‘the cleaning staff work very hard and they like a joke’’. Staffing at the home is good and staff have positive relationships with service users. During discussions a service user stated ‘‘staff never complain, nothing is too much for them’’ and ‘‘staff are very good, they look after us’’. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 6 The home has good quality assurance and the company used an external consultancy to obtain feedback about the home. It is recorded ‘‘Eastlake is a wonderful place with caring staff’’. The home has robust recruitment and vetting practices to safeguard the welfare of service users and it is recorded ‘‘ I don’t have any complaints and am fully satisfied with the care my mother receives’’. The home has a policy on equal opportunities and values equality and diversity. The inspector noted staff have value based training and individual care plans reflect the uniqueness of each individual service user. Further evidence indicated the manager is doing a diploma in dementia care to reflect the diverse needs of service users in the home and information about the home is available in large text and audio format to respond to service users with sensory impairment and mental health needs. It is recorded ‘‘I am impressed with the quality of care from all staff’’. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3&6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes service user guide needs strengthening to ensure prospective service users have up to date information on which to make decisions about admission to the home. The arrangements for assessing needs must be strengthened to safeguard the welfare of prospective service users. EVIDENCE: The home had a statement of purpose and service user guide which was written in plain English, nicely presented and available in the home for information. Following discussions with the deputy manager a requirement has been made for information about the range of fees charged by the home to be included in the service user guide to ensure prospective service users have up to date information on which to make decisions about admission to the home. The home had a policy on assessing needs and the deputy manager Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 9 stated prospective service users are admitted to the home following an assessment of needs. A review of records indicated the home had a readmission from hospital assessment and a daily living and needs assessment which covered personal care, health needs and social support. It is recorded in the satisfaction questionaire ‘‘we are very satisfied with the overall care and attention our relative receives and we are grateful’’. Following discussions with the deputy manager a requirement has been made for assessments to include personal safety and risks to safeguard the welfare of service users with memory impairment. The home does not provide intermediate care and this standard was not assessed. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9&10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning need strengthening to promote health and personal care. The systems for health care are good and promote and maintain the health of service users. Medication management is good and promotes health. The arrangements for privacy and dignity are good ensuring service users are treated with respect and their right to privacy upheld. EVIDENCE: The deputy manager stated the home will be implementing a new care planning system and staff will be trained in care planning. The inspector noted the home had individual lifestyle assessments which set out in detail actions to be taken by staff with regards to personal care, health needs and social support. During discussions a service user commented ‘‘staff are very good, they look after us’’ and ‘‘staff never complain, nothing is too much for them’’. A Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 11 review of records indicated individual lifestyle assessments and risk assessments were in need of reviewing and updating and action has been required in respect of this matter to safeguard the welfare of service users. The home promotes the health of service users with access to a local GP (general practitioner) and contact with a district nurse, psychiatrist and other professionals as appropriate. The inspector noted a service user with a medical condition had input from a district nurse to promote wellbeing and the home accessed the local PCT (primary care trust) to maintain the health of service users. During discussions a service user stated ‘‘we do light exercises to keep the joints moving’’. The home had a policy on medications and staff have training in medications to promote health. Observations confirmed medications were appropriately stored and the home had controlled drugs recorded in a controlled drugs register and correct. Further evidence indicated the home kept a record of medications received by the home and returned to the pharmacy to prevent mishandling of medications. The inspector sampled medication record sheets which had a recent photograph of service users and were dated and signed by staff. Further evidence indicated medication record sheets handwritten by staff were not dated and signed and a recommendation has been made in respect of this matter to improve practice in the home. The home had a policy on privacy and dignity and staff have training in privacy and dignity reflected in the homes induction programme. Observations confirmed staff addressed service users by their preferred names and one service user with a telephone in her bedroom commented ‘‘I can speak to my friends who ring me in private’’. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for social activities are adequate and satisfy the social and recreational interests of service users. Community contact is good ensuring service users maintain contact with family friends and the local community as they wish. The systems for autonomy and choice are good ensuring service users are helped to exercise choice over their lives. Meals at the home are good and offer variety and choice. EVIDENCE: The home employs two activity co-ordinators to plan and organise social, leisure and recreational activities for service users. The inspector sampled records and noted the home had a weekly activity plan and service users visited local places of interest to satisfy their leisure needs. Further evidence confirmed the home had a library with a variety of books, audio and video tapes and the local vicar visited the home to meet the religious needs of service users. A review of staff training records confirmed staff have training in dementia care and activities and during discussions a service user stated ‘‘I make my own bed and do colouring and knitting to keep me busy’’ and ‘‘I like reading, knitting and embroidery’’. Following discussions with the deputy Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 13 manager a requirement has been made for information about activities to be in a format which is understandable by service users with memory impairment to promote participation and choice. The home promoted community contact and had a visitor’s policy to ensure service users maintain links with family and friends. Observations confirmed the home had facilities for service users to receive visitors in private and a local resident worked at the home as a volunteer to promote community contact. The inspector noted family and friends visited the home during the inspection and it is recorded ‘‘staff are very helpful and approachable’’ and a service user remarked ‘‘I have visitors, my son lives down the road and I go out at week ends with my daughter’’. The home promoted autonomy and service users have the choice to handle their own financial affairs for as long as they wish to do so. A review of records indicated service users had their benefit book, personal bank accounts and managed their own financial affairs. Observations confirmed service users are entitled to bring personal possessions to the home and further evidence indicated one service user had a display cabinet in her bedroom with ornaments, cards and family photographs for her enjoyment. During discussions a service user commented ‘‘I have a cooler in my room with two cans of Guinness, I like it very much’’. The home employs a chef manager and catering staff to plan and prepare meals at the home. A review of records indicated the home had written menu plans which offered variety, choice and healthy eating options. Observations confirmed mealtime was relaxed and unhurried with service users being given sufficient time to eat. Staff supported service users using verbal and physical prompts and meals were kept in a heated trolley and nicely presented. On the day of the inspection lunch was a choice of lasagne or sausages with onions, green beans, sweet corn and boiled potatoes. Dessert was strawberry sponge with custard or fresh fruits and hot and cold drinks were available. During discussions a service user stated ‘‘meals are very good, well balanced at least two vegetables with potatoes’’ and ‘‘you get a choice everyday, actually it is quite good’’. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for complaints are good with complaint information available to staff service users and relatives. The arrangements for protection are good safeguarding the welfare of service users. EVIDENCE: The home had a policy on complaints with complaint information available in the foyer and other areas of the home for information. The home kept a record of complaints which was sampled with appropriate management action taken. During discussions a member of staff stated ‘‘I am aware of the complaints policy and procedures’’. The inspector noted no complaints were recorded about the home since the last inspection by the CSCI. The home had a policy on safeguarding adults and a whistle blowing policy to protect service users from harm. A review of records indicated staff have training in rights and responsibilities and a copy of the local authority (Surrey County Council) procedures on safeguarding adults. The inspector noted two incidents at the home were investigated under safeguarding adult procedures with appropriate management action taken to safeguard the welfare of service Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 15 users. It is recorded on a satisfaction questionaire ‘‘I don’t have any complaints and am fully satisfied with the care that my mother receives’’. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are excellent ensuring service users live in a comfortable and well-maintained environment. The arrangements for hygiene are good ensuring the home is clean and hygienic for service users. EVIDENCE: The premises are accessible, well maintained and observations confirmed the environment is homely and comfortable with good furniture and fittings. The home had a good standard of décor and good facilities to meet the individual and collective needs of service users. On the day of the inspection the home was clean, well ventilated and free from mal odour and during discussions a service user commented ‘‘the cleaning staff work very hard and they like a joke’’. Observations confirmed the home had a garden which is attractive, Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 17 private, secure and accessible to service users. During discussions a service user stated ‘‘I get up and go to the garden when I want’’. A review of records confirmed a fire officer visited the home on 24/8/06 with no recommendations made. The home had a policy on infection control and staff have infection control training to prevent the spread of infection in the home. A review of records indicated the home had a service level agreement with an approved contractor for the disposal of clinical waste. Observations confirmed the home had dryers and a washing machine with sluicing facilities. Further evidence confirmed the home had aprons, gloves and staff practiced infection control measures by washing their hands regularly to prevent the spread of infection in the home. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29&30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing are good ensuring a good skill mix of staff to meet the needs of service users. The arrangements for staff development are excellent ensuring service users are in safe hands at all times. Recruitment and vetting practices are excellent and safeguard the welfare of service users. Induction and foundation training is good ensuring staff are trained and competent to do their jobs. EVIDENCE: The home employs a registered manager, two deputy managers, senior care officers, care assistants, chef manager and catering assistants, housekeepers, laundry assistants, activity co-ordinators and a handyman to meet the needs of service users. A review of records indicated the home had a written staff rota and staffing levels were based on an approved staffing formula. On the day of the inspection the home was adequately staffed and during discussions a member of staff stated ‘‘there is enough staff, always two per shift on each unit with a floater in the mornings’’. The deputy manager stated the home is committed to staff training and development and staff have NVQ (National Vocational Qualification) training. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 19 The inspector sampled staff training records and noted senior care officers and care assistants have NVQ training to ensure service users are in safe hands at all times. During discussions a member of staff stated ‘‘I am doing NVQ Level 3 and I have gained a lot from my training’’. The home had a policy on recruitment of staff based on equal opportunities and staff are given copies of the GSCC (general social care council) code of practice. A review of records indicated the home had robust vetting procedures and staff recruitment files contained completed application forms, written references, terms and conditions, training records, a recent photograph of the employee, health questionaire, sickness and absence records, personal details and CRB (criminal record bureau) disclosure information to protect service users from harm. The home had a structured induction and foundation training programme which covered the principles of care, safe working practices, the organisation and workers role, and reflected Skills for Care common induction standards. During discussions a member of staff stated ‘‘I have done induction training. I had plenty of time and it wasn’t rushed’’ and ‘‘the manager has introduced lots of training’’. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for the day to day management of the home is good ensuring the home is managed by a person who is fit to be in charge of the home. The systems for quality assurance are excellent ensuring the home is run in the best interest of service users. The management of service users’ money is good ensuring service users’ financial interests are safeguarded. Health and safety at the home is excellent and promotes safe working practices. EVIDENCE: The home has an experienced registered manager who provides management stability, leadership and direction to the staff team. The manager is aware of Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 21 her role and responsibilities and is doing a diploma in dementia care to respond to the diverse needs of service users in the home. The inspector noted the home had a management structure with clear lines of communication and accountability in the home. During discussions a member of staff commented ‘‘the manager is keen to develop the home’’ and ‘‘we use supervision and team meetings to discuss issues and drive the home forward’’. The home had systems in place for quality assurance including Regulation 26 (monitoring visits) and regular meetings with relatives and services. Further evidence indicated the home used questionnaires to obtain feedback about the home and the company commissioned an external consultancy to do a survey of service users and relatives dated 2006. It is recorded ‘‘Eastlake is a wonderful place with very caring staff’’ and ‘‘impressed with the quality of care from all staff’’. The inspector noted the results of the service users and relatives survey were available in the home for information. The home had a policy on service users’ money and provided secure facilities for the safe keeping of money and valuables. Further evidence confirmed the home employed an administrator with responsibility for service users’ money and electronic records of financial transactions were maintained by the home. The home had a policy on health and safety, information about health safety and staff have training in food hygiene, first aid, fire safety and other appropriate and relevant training. Further evidence indicated the home had a COSHH (control of substances hazardous to health) policy and products were appropriately stored. During discussions a house keeper commented ‘‘I have been working here for thirteen years and we never leave products around’’. Observations confirmed the kitchen appeared clean and hygienic and management action had been taken in respect of recommendations made by the local authority environmental health officer to promote food safety. The manager has additional training in health and safety to promote safe working practices and the home has an award given by the company to reflect good standards of health and safety in the home. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 3 x x 4 Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 24 STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5 (1) (b) Requirement The registered person must ensure information about the range of fees charged by the home is included in the service user guide. The registered person must ensure the assessment of prospective service users includes personal safety and risks to safeguard the welfare of service users. The registered person must ensure information about activities is in a format which is understandable by service users. Timescale for action 01/02/07 2 OP3 12 (1) (a) 01/12/06 3 OP14 16 (m) (n) 01/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The registered person should consider ensuring medication record sheets with handwritten prescriptions are dated and signed by staff to safeguard the welfare of service users. Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eastlake DS0000013848.V316747.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!